Staci Gorson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209010800 Issued in IL

Practice address

1455 N Milwaukee Ave FL 2
Chicago, IL 60622-2015

Phone

(773) 435-9036

NPI assigned

Oct 15, 2013

Last updated

Jan 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sgorson164041@direct.rush.rush-health.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chicago Women's Health Group at Northwestern

  • Specialist
  • Chicago, IL
  • NPI 1053377473
  NPD (past)
• Chicago Womens Health Group

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1457604910
  NPD (past)
• Reena Jabamoni MDSC

  • Gynecology Physician
  • Hoffman Estates, IL
  • NPI 1649451394
  NPD (past)
• Vios Fertility Institute Chicago

  • Reproductive Endocrinology Physician
  • Chicago, IL
  • NPI 1982059275
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1306274022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14000",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154033",
            "telephone_number": "773-435-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 N MILWAUKEE AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222015",
            "telephone_number": "773-435-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E Chicago Ave Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112697",
            "country_code": "US",
            "telephone_number": "312-943-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORSON",
        "first_name": "STACI",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Lynn Gorrell, MMS, PA-C
• Purnima Gorrepati, M.D
• Erin Gorski, PA-C
• Jennifer Gorski, PHD
• Michal Grzegorz Gorski, MD
• Rayna Gorstein
• Kimberly Nicole Gorsuch, PA-C
• Liliana Gorsuch
• Gortho LTD
• Andrew Josiah Gorton, MD

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.